There is global consensus on the need for improved access to quality and sustainable fistula care and training services; postoperative social-reintegration services; additional research and consistent allocation of resources for this cause.

The midwife is the first point of referral for the pre-conceptual, the pregnant, the labouring, the post-natal mother, the skilled attendant for the new born; teacher, guide, support, medical helper. And a first-responder in preventing fistula.